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CLERK CIRCUIt COIM~ ~
RECORO ~EP~FIED
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Affidavit Under Fictitious Name Statute
STATE OF FtORIDA
SS.
COUNTY OF ST. LllCIE
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
A-1 Roof Coating and Waterproofing
fictitious name of
P. 0. Box 1841 _
located at
Fort Pierce
in the City of St. lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
Harley P. Short SO%
Irn~a T. Beedy 50%
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~ Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of
~ Chapter 20953, laws of 1941.
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~ ~ 9th October 73
~ Sworn to and subscribed before me this day of 19_____.
K,
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; , ROGER POITRAS
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CLERK CIRCUIT COURT Notary Public
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By ~t__ tl~ D.C. My Commission expires-__________
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